# GUARDIAN ANGEL'S MEDICAL SUPPLY,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093052706
- **Authorized official:** DEBBIE DIANE PERRY R.N. (OWNER/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (209) 489-9109

## Contact information

- **Practice address:** 222 I ST, SUITE B, LOS BANOS, CA 93635-4132
- **Practice address phone:** (209) 826-2223
- **Practice address fax:** (209) 826-2242
- **Mailing address:** 222 I ST, SUITE B, LOS BANOS, CA 93635-4132
- **Mailing address phone:** (209) 826-2223
- **Mailing address fax:** (209) 826-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2013
- **Last updated:** 06/10/2014